Provider Demographics
NPI:1649268087
Name:SNITKOFF, LOUIS S (MD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:S
Last Name:SNITKOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:711 TROY SCHENECTADY RD STE 203
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2461
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:501 NEW KARNER RD
Practice Address - Street 2:SUITE 1A
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-3882
Practice Address - Country:US
Practice Address - Phone:518-452-1337
Practice Address - Fax:518-724-6660
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2018-01-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY134817207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00935020Medicaid
NY5136302OtherAETNA
NY000401164002OtherBSNENY
NY10001930OtherCDPHP
NY11114OtherMVP
NY070711000051OtherFIDELIS
NY200331OtherSENIOR WHOLE HEALTH
NY28N012OtherEMPIRE BC
NY47357OtherGHI/HMO
NY10001930OtherCDPHP
NY28N012OtherEMPIRE BC